Abstract
Background
This study was conducted to evaluate the effect of interaction of sympathetic and opioid systems in the processing of polycystic ovary syndrome modeling in rat.
Methods
Ninety adult female rats (7–8 weeks of age) were treated with EV for 60 days for induction of follicular cysts (PCO modeling). Clonidine and yohimbine were used for sympathic agonist and antagonist and nalterxone was used for opioid system inhibition. Interactions of two systems were studied.
Results
Our results indicate that both systems and interaction of two systems are effective in processing modeling of PCOS in rat. Interaction of two system drugs decreased estradiol (P < 0.05). Qualitative analysis showed that the bulk of cysts and corpus lutea and dominant follicles were increased in PCO rats in comparison with control group.
Conclusion
Therefore there could been an alternative in the treatment of the polycystic ovary syndrome in the rat by using adrenergic agonist and antagonists in combination with naltrexone.
Similar content being viewed by others
References
Stein IF, Leventhal ML (1953) Amenorrhea associated with bilateral polycystic ovaries. Am J Obstet Gynecol 29:181–191
Goldzieher JW (1981) Polycystic ovarian disease. Fertil Steril 35:371–394
Mallappa Saroja CS, Hanji Chandrashekar S (2010) Polycystic ovaries: review of medical information on the internet for patients. Arch Gynecol Obstet 281:839–843
Carmina E, Koyama T, Chang L, Stanczyk FZ, Lobo RA (1992) Does ethnicity influence the prevalence of adrenal hyperandrogenism and insulin resistance in polycystic ovary syndrome? Am J Obstet Gynecol 67:1807–1812
Legro RS, Kunselman AR, Dodson WC, Dunaif A (1999) Prevalence and predictors of risk for type 2 diabetes mellitus and impaired glucose tolerance in polycystic ovary syndrome: a prospective, controlled study in 254 affected women. J Clin Endocrinol Metab 84:165–169
DeUgarte CM, Bartolucci AA, Azziz R (2005) Prevalence of insulin resistance in the polycystic ovary syndrome using the homeostasis model assessment. Fertil Steril 83:1454–1460
Solomon CG (2003) Reducing cardiovascular risk in type 2 diabetes. N Engl J Med 348:457–459
Glueck CJ, Papanna R, Wang P, Goldenberg N, Sieve-Smith L (2003) Incidence and treatment of metabolic syndrome in newly referred women with confirmed polycystic ovarian syndrome. J Metabol 52:908–915
Apridonidze T, Essah PA, Iuorno MJ, Nestler JE (2005) Prevalence and characteristics of the metabolic syndrome in women with polycystic ovary syndrome. J Clin Endocrinol Metab 90:1929–1935
Sam S, Legro RS, Bentley-Lewis R, Dunaif A (2005) Dyslipidemia and metabolic syndrome in the sisters of women with polycystic ovary syndrome. J Clin Endocrinol Metab 90:4797–4802
Eagleson CA, Marshall JC (1999) Neuroendocrine aspects of polycystic ovary syndrome. Endocrinol Metab Clin North Am 28:295–324
Solomon CG (1999) The epidemiology of polycystic ovary syndrome. Prevalence and associated disease risks. Endocrinol Metab Clin North Am 28:247–263
Nelson VL, Qin KN, Rosenfield RL, Wood JR, Penning TM, Legro RS (2001) The biochemical basis for increased testosterone production in theca cells propagated from patients with polycystic ovary syndrome. J Clin Endocrinol Metab 86:5925–5933
Aguado LI (2002) Role of the central and peripheral nervous system in the ovarian function. J Microsc Res Tech 59:462–473
Sverrisdottir YB, Mogrent T, Kataoka J, Janson PO, Stener-Victorin E (2008) Is polycystic ovary syndrome associated with high sympathetic nerve activity and size at birth? Am J Physiol Endocrinol Metab 294:E576–E581
Eyvazzadeh AD, Pennington KP, Pop-Busui R, Sowers M, Zubieta JK, Smith YR (2009) The role of the endogenous opioid system in polycystic ovary syndrome. Fertil Steril 92:1–12
Andersson s, Lundeberg T (1995) Acupuncture––from empiricism to science: functional background to acupuncture effects in pain and disease. Med Hypotheses 45:271–281
Fulghesu AM, Ciampelli M, Belosi C, Apa R, Guido M, Caruso A (2001) Naltrexone effects on pulsatile GnRH therapy for ovulation induction in PCOS: a pilot prospective study. J Endocrinol Invest 24:483–490
Ahmed MI, Duleba AJ, El Shahat O, Ibrahim ME, Salem A (2008) Naltrexone treatment in clomiphene resistant women with polycystic ovary syndrome. Hum Reprod 23:2564–2569
Ciampelli M, Fulghesu AM, Guido M, Murgia F, Muzj G, Belosi C, Fortini A, Cento R, Lanzone A (1998) Opioid blockade effect on insulin beta-cells secretory patterns in polycystic ovary syndrome Oral glucose load versus intravenous glucagon bolus. Horm Res 49:263–268
Gabriel SM, Berglund LA, Simpkins JW (1986) A decline in endogenous opioid influence during the steroid-induced hypersecretion of luteinizing hormone in the rat. J Endocrin 118:558–561
Fulghesu AM, Ciampelli M, Guido M, Murgia F, Caruso A, Mancuso S, Lanzone A (1998) Role of opioid tone in the pathophysiology of hyperinsulinemia and insulin resistance in polycystic ovarian disease. Metabolism 47:158–162
Wortsman J, Wehrenberg WB, Gavin JR, Allen JP (1984) Elevated levels of plasma betaendorphin and melanocyte stimulating hormone in the polycystic ovary syndrome. Obstet Gynecol 63:630–635
Fulghesu AM, Lanzone A, Cucinelli F, Caruso A, Mancuso S (1993) Long-term naltrexone treatment reduces the exaggerated insulin secretion in patients with polycystic ovary disease. Obstet Gynecol 82:191–197
Lanzone A, Fulghesu AM, Fortini A, Cutillo G, Cucinelli F, Di Simone N (1991) Effect of opiate receptor blockade on the insulin response to oral glucose load in polycystic ovarian disease. Hum Reprod 6:1043–1049
Angelopoulos TS, Deny BS, Weikart C, Dasilvas SG, Mickael TG, Robertson RJ (1995) Endogenous opioids may modulate cathecolamine secretion during high intensity exercise. Eur J Appl Physiol Occup Physiol 70:195–199
Hadziomerovic D, Rabenbauer B, Wildt l (2006) Normalization of hyperinsulinemia by chronic opioid receptor blockade in hyperandrogenemic women. Fertil Steril 86:651–657
Brawer JR, Munoz M (1996) Development of the polycystic ovarian conditions (PCO) in the estradiol valerate-treated rat. Biol Reprod J 35:647–655
Genazzani AR, Genazzani AD, Volpogni C, Pianazzi F, Li GA, Surico N, Petraglia F (1993) Opioid control of gonadotrophin secretion in humans. Hum Reprod 8(Suppl 2):151–153
Jenkins PJ, Grossman A (1993) The control of the gonadotrophin releasing hormone pulse generator in relation to opioid and nutritional cues. Hum Reprod 8(Suppl 2):154–161
Dissen GA, Garcia-Rudaz C, Ojeda SR (2009) Role of neurotrophic factors in early ovarian development. Semin Reprod Med 27:24–31
Fagius J (2003) Sympathetic nerve activity in metabolic control–some basic concepts. Acta Physiol Scand 177:337–343
Ojeda S, Lara H (1989) Role of the sympathetic nervous system in the regulation of ovarian function. Springer, Berlin, pp 26–33
Reaven GM, Landsberg L, Lithell H (1996) Hypertension and associated metabolic abnormalities—the role of insulin resistance and the sympathoadrenal system. N Engl J Med 334:374–381
Sir-Petermann T, Maliqueo M, Angel B, Lara HE, Perez-Bravo F, Recabarren SE (2002) Maternal serum androgens in pregnant women with polycystic ovarian syndrome: possible implications in prenatal androgenization. Hum Reprod 17:2573–2579
Barria A, Leyton V, Ojeda SR, Lara HE (1993) Ovarian steroidal response to gonadotropins and beta-adrenergic stimulation is enhanced in polycystic ovary syndrome: role of sympathetic innervation. Endocrinology 133:2696–2703
Manni L, Lundeberg T, Holmang A, Aloe L, Stener-Victorin E (2005) Effect of electro-acupuncture on ovarian expression of alpha (1)- and beta (2)-adrenoceptors, and p75 neurotrophin receptors in rats with steroid-induced polycystic ovaries. Reprod Biol Endocrinol 3:21
Desjardins GC, Beaudet A, Brawer JR (1990) Alterations in opioid parameters in the hypothalamus of rats with estradiol-induced polycystic ovarian disease. J Endocrin 127:2969–2976
Dondi D, Limonta P, Maggi R, Piva F (1992) Effects of ovarian hormones on brain opioid binding sites in castrated female rats. Am J Physiol 263:E507–E511
Quiñones-Jenab V, Jenab S, Ogawa S, Inturrisi C, Pfaff DW (1997) Estrogen regulation of mu-opioid receptor mRNA in the forebrain of female rats. Brain Res Mol Brain Res 47:134–138
Broad KD, Kendrick KM, Sirinathsinghji DJ, Keverne EB (1993) Changes in pro-opiomelanocortin and pre-proenkephalin mRNA levels in the ovine brain during pregnancy, parturition and lactation and in response to oestrogen and progesterone. J Neuroendocrinol 5:711–719
Eckersell CB, Popper P, Micevych PE (1993) Estrogen-induced alteration of mu-opioid receptor immunoreactivity in the medial preoptic nucleus and medial amygdala. Neurosci. 18:3967–3976
Guido M, Romualdi D, Lanzone A (2006) Role of opioid antagonists in the treatment of women with glucoregulation abnormalities. Curr Pharm 12:1001–1012
Fruzzetti F, Bersi C, Parrini D, Ricci C, Genazzani AR (2002) Effect of long-term naltrexone treatment on endocrine profile, clinical features, and insulin sensitivity in obese women with polycystic ovary syndrome. Fertil Steril 77:936–944
Hadziomerovic D, Rabenbauer B, Wildt L (2006) Normalization of hyperinsulinemia by chronic opioid receptor blockade in hyperandrogenemic women. Fertil Steril 86:651–657
Lanzone A, Apa R, Fulghesu AM, Cutillo G, Caruso A, Mancuso S (1993) Long-term naltrexone treatment normalizes the pituitary response to gonadotropin-releasing hormone in polycystic ovarian syndrome. Fertil Steril 59:734–737
Stener-Victorin E, Jedel E, Mannerås L (2008) Acupuncture in polycystic ovary syndrome: current experimental and clinical evidence. J Neuroendocrinol 20:290–298
Minoia P (2001) Sciorsci RL.Metabolic control through L calcium channel, PKC and opioid receptors modulation by an association of naloxone and calcium salts. Curr Drug Targets Immune Endocr Metabol Disord 1:131–137
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zangeneh, F.Z., Mohammadi, A., Ejtemaeimehr, S. et al. The role of opioid system and its interaction with sympathetic nervous system in the processing of polycystic ovary syndrome modeling in rat. Arch Gynecol Obstet 283, 885–892 (2011). https://doi.org/10.1007/s00404-010-1776-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-010-1776-7